Prevalence of Self-Reported Stroke and Disability in the French Adult Population: A Transversal Study
Open Access
- 18 December 2014
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 9 (12), e115375
- https://doi.org/10.1371/journal.pone.0115375
Abstract
In France, the prevalence of stroke and the level of disability of stroke survivors are little known. The aim of this study was to evaluate functional limitations in adults at home and in institutions, with and without self-reported stroke. A survey named “the Disability Health survey” was carried out in people's homes (DHH) and in institutions (DHI). Medical history and functional level (activities-of-daily-living, ADL and instrumented-activities-of-daily-living IADL) were collected through interviews. The modified Rankin score (mRS) and the level of dependence and disability were compared between participants with and without stroke. 33896 subjects responded. The overall prevalence of stroke was 1.6% (CI95% [1.4%–1.7%]). The mRS was over 2 for 34.4% of participants with stroke (28.7% of participants at home and 87.8% of participants in institutions) versus respectively 3.9%, 3.1% and 71.6% without stroke. Difficulty washing was the most frequently reported ADL for those with stroke (30.6% versus 3% for those without stroke). Difficulty with ADL and IADL increased with age but the relative risk was higher below the age of 60 (17 to 25) than over 85 years (1.5 to 2.2), depending on the ADL. In the overall population, 22.6% of those confined to bed or chair reported a history of stroke. These results thus demonstrate a high national prevalence of stroke. Older people are highly dependent, irrespective of stroke history and the relative risk of dependence in young subjects with a history of stroke is high compared with those without.Keywords
This publication has 27 references indexed in Scilit:
- Respective contribution of chronic conditions to disability in France: Results from the national disability-health surveyAnnals of Physical and Rehabilitation Medicine, 2013
- Respective Contribution of Chronic Conditions to Disability in France: Results from the National Disability-Health SurveyPLOS ONE, 2012
- The Incidence, Prevalence, and Mortality of Stroke in France, Germany, Italy, Spain, the UK, and the US: A Literature ReviewStroke Research and Treatment, 2012
- Simplified Modified Rankin Scale QuestionnaireStroke, 2011
- Estimates of Outcomes Up to Ten Years after Stroke: Analysis from the Prospective South London Stroke RegisterPLoS Medicine, 2011
- Influence of Age on Outcome From Thrombolysis in Acute StrokeStroke, 2010
- Gender differences in health: results from SHARE, ELSA and HRSEuropean Journal of Public Health, 2010
- Validity of Self-Reported StrokeStroke, 2000
- Use of Nursing Home After Stroke and Dependence on Stroke SeverityStroke, 1999
- The Effect of a Stroke Unit: Reductions in Mortality, Discharge Rate to Nursing Home, Length of Hospital Stay, and CostStroke, 1995